How to find rehab in New York
Finding detox in New York can be difficult. Here's everything you need to know about NY rehab options and how to find local treatment as soon as possible.
Takeaways from this article:
Types of rehab in New York
How to pay for detox in New York
State-funded-rehab in New York
Overdose deaths for 2018 numbered 3,697 in New York and the mortality rate was 18.4, according to the Centers for Disease Control and Prevention. To help reverse this trend, American Addiction Centers continues to focus on its mission to help people find treatment regardless of whether or not it is at one of our facilities.
This page is a comprehensive resource of information about addiction treatment in New York. We detail the different types of rehab in New York, how to pay for private rehab, how to find state-funded resources, and where to look for accreditation information.
Types of Rehab Available in New York
There are three different types of treatment for those seeking help with substance abuse: detox, inpatient care, and outpatient care.
People struggling with addiction are vulnerable to the dangers associated with withdrawal. Detox is often the first step before moving to longer-term treatment options. Detox includes medical support and guidance for an individual who is in withdrawal so they can physically stabilize before engaging in long-term, therapy-based treatment.
Inpatient care involves a residential setting where patients receive around-the-clock care. Outpatient care is for those who have already completed inpatient care or for people who may not be able to take time away from work obligations or family responsibilities.
The table below showcases the number of rehab facilities in New York that offer each level of care:
|Type of Care, by number and percent|
|Day Treatment/Partial Hospitalization||66||7.35%|
|Methadone/buprenorphine maintenance or naltrexone treatment||455||50.67%|
The majority of care facilities in New York (70 percent) are outpatient. Among outpatient facilities, the majority are regular (63 percent), followed by those for methadone/buprenorphine (51 percent) and intensive (28 percent). Residential facilities outside of a hospital represent 27 percent of facilities; 21 percent are long-term, while 8 percent are short-term, which gives people almost equal options about where is best for them to stay.
Paying for Detox or Rehab in New York
The expense of paying for individual treatment can be daunting for people seeking enrollment in an addiction treatment program, especially for those who do not have health insurance coverage. Most people in New York attending treatment either use private or state insurance plans.
Addiction treatment can be costly. Projections anticipate that healthcare costs will rise to $6 trillion by 2027. Healthcare spending in New York is higher than the national average and the gap is widening; per-person spending grew 27 percent between 2013 and 2017. In fact, New Yorkers paid $6,335 per person in 2017 compared to the $5,335 national per-person average that same year.
How much treatment costs depends on several factors: the type of care required, whether it is inpatient or outpatient, the type of facility, the amenities, and more. Costs also depend on the type of treatment centers you choose, either state-funded or privately-funded.
The Difference Between State-Funded & Private Rehab in New York
Private treatment is the best option for people with private insurance coverage through an employer. Those with independent financial security may also choose the private treatment as well.
Among the two options, private treatment is ideal considering the challenges that often arise seeking government-run addiction treatment programs. Waitlists, the number of times you may attend, and other factors do not limit access to treatment when you attend a private facility. The following table breaks down the number of facilities in New York by whether they are private non-profit, private for-profit, locally funded, state-funded, or federally funded.
|Facility Operation, by number and percent|
|Private for Profit||148||16.48%|
|Local, county, or community government||61||6.79%|
More than half (27 percent) of the number of treatment centers in New York are private non-profit while far less than half (16 percent) are private for-profit, which is good news for people seeking low-cost alternatives to their addiction treatment.
Detox & Rehab in New York by Payment Method
While 837 of the total 898 treatment facilities in New York accept cash, 719 also accept private health insurance and 795 accept Medicaid. At least 591 of facilities accept state-financed health insurance.
Five percent of people in New York are without health insurance. While not having a private insurance plan might limit your options, always remember that there are several treatment facilities that will serve your needs regardless.
The table below breaks down the typical payment methods used and how many facilities in New York accept each payment type.
|Facility Payment Options, by Number and percent|
|Cash or self-payment||837||93.21%|
|Private Health Insurance||719||80.07%|
|State-financed Health insurance||591||65.81%|
|Federal military insurance||261||29.06%|
|No payment accepted (free treatment for all clients)||5||0.56%|
|IHS/Tribal/Union (ITU) funds||45||5.01%|
|Sliding fee scale||741||82.52%|
|Treatment at no charge or minimal payment for clients who can’t pay||407||45.32%|
As you can see, treatment is possible in New York for those the without private insurance. Cash represents the majority (93 percent) of payment options in New York followed by Medicaid (89 percent) and private health insurance (80 percent). For clients who struggle with their finances, good news: Almost all facilities (83 percent) accept patients on a sliding fee scale, and 45 percent provide treatment at no charge or for minimal payment.
Treatment Center Accreditations in New York
Now that you understand the types of care available, the differences in facility types, and how to pay for treatment, the last thing you’ll want to consider about a facility is its accreditation.
New York has only one level of certification for substance abuse counselors: The Credentialed Alcoholism and Substance Abuse Counselor (CASAC). The state has specific requirements including education, training, experience, exams, and the signing of a Code of Ethics. New York also requires counselors to hold a master’s degree in counseling, especially if they intend to enter private practice.
The Commission on Accreditation of Rehabilitation Facilities (CARF) accredits operators worldwide at the request of health and human service providers and can be a good reference point when looking for accredited drug and alcohol treatment facilities. The Joint Commission Accreditation for Addiction Treatment Providers (often referred to simply as the Joint Commission) also provides accreditation to service providers.
Below is a table outlining the typical types of accreditations or licenses so you can understand what number of facilities have these and how common they are.
|Facility Licensing, Certification, or Accreditation, by number and percent|
|Any listed agency/organization||883||98.33%|
|State substance abuse agency||854||95.10%|
|State mental health department||161||17.93%|
|State department of health||321||35.75%|
|Hospital licensing authority||116||12.92%|
|The Joint Commission||252||28.06%|
|Commission on Accreditation of Rehabilitation Facilities (CARF)||105||11.69%|
|National Committee for Quality Assurance (NCQA)||17||1.89%|
|Council on Accreditation (COA)||30||3.34%|
|Healthcare Facilities Accreditation Program (HFAP)||9||1.00%|
|Other national organization or federal, state or local agency||27||3.01%|
The good news is that there are a number of reputable providers with accreditations serving the state of New York. Almost all agencies (98 percent) have some kind of accreditation and almost all (95 percent) are accredited state substance abuse agencies. You can rest assured there are many reputable options available no matter your individual circumstance
 “Drug Overdose Mortality by State,” Centers for Disease Control and Prevention, April 29, 2020. https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm
 Emily Guarnotta, “Drug & Alcohol Withdrawal Information,” Withdrawal.net, https://www.withdrawal.net/treatment/information/.
 “Healthcare Costs For Americans Projected to Grow at an Alarming Rate,” Peter G. Peterson Foundation, May 1, 2019. https://www.pgpf.org/blog/2019/05/healthcare-costs-for-americans-projected-to-grow-at-an-alarmingly-high-rate#:~:text=Healthcare%20Costs%20Continue%20to%20Rise,to%20%246%20trillion%20by%202027.
 Chad Arnold, “Live in New York? You’re Probably Spending More on Health Care Than Most, New Report Finds,” Democrat & Chronicle, August 1, 2019. https://www.democratandchronicle.com/story/news/politics/albany/2019/08/01/ny-spends-more-health-care-than-national-average/1876600001/
 “Health Insurance Coverage of the Total Population,” 2018, KFF.org, https://www.kff.org/other/state-indicator/total-population/?activeTab=map¤tTimeframe=0&selectedDistributions=uninsured&selectedRows=%7B%22states%22:%7B%22rhode-island%22:%7B%7D%7D%7D&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22desc%22%7D
 “How to Become a Substance Abuse Counselor in New York,” Counselor-License.com, May 21, 2020. https://counselor-license.com/state-licensure/new-york/substance-abuse-counselor/
 “Evolving With Care,” The Joint Commission, https://www.jointcommission.org/.